ETHAN LEWIS

ITHACA, NY
NPI1942677877
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2015-08-26
Last Update Date2015-08-26
Business Address
-- ETHAN LEWIS
10 BRENTWOOD DR
ITHACA, NY 14850-1865
Phone number: 607-274-4159
Mailing Address
-- ETHAN LEWIS
10 BRENTWOOD DR
ITHACA, NY 14850-1865
Phone number: